CLARK COMMUNITY MENTAL HEALTH CENTER: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- CLARK COMMUNITY MENTAL HEALTH CENTER (EIN 23-7218344)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-10
- IRS object ID
- 202321309349302157
- Schema version
- 2021v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-10T11:08:08-04:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 431109768 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPM CPAS PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1445 E REPUBLIC RD | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 65804 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237218344 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLARK COMMUNITY MENTAL HEALTH | BusinessNameLine1Txt |
| Business Name Line2 | CENTER | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CLAR | BusinessNameControlTxt |
| Phone | 4174761000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 100 | AddressLine1Txt |
| City | PIERCE CITY | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 65723 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BRADLEY RIDENOUR | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 4174761000 | PhoneNum |
| Signature | 2023-05-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | BRADLEY | PersonFirstNm |
| Person Last | RIDENOUR | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BARBARA J HOUSER CPA | PreparerPersonNm |
| PTIN | P00227583 | PTIN |
| Phone | 4178824300 | PhoneNum |
| Preparation | 2023-05-10 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BRADLEY RIDENOUR | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 104 W MAIN ST | AddressLine1Txt |
| City | PIERCE CITY | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 65723 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $15,674,456 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CLARKMENTALHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1971 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | REDUCE THE STIGMA AND PROMOTE AWARENESS SURROUNDING MENTAL HEALTH WITHIN THE COMMUNITIES WE SERVE, PROMOTE WELLNESS, AND PROVIDE INDIVIDUALIZED CARE WITH AN INTEGRATED APPROACH. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 166 | TotalEmployeeCnt |
| Total Volunteers | 7 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $11,891,130 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,235,750 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $13,427,801 | CYProgramServiceRevenueAmt |
| PY Investment Income | $15,803 | PYInvestmentIncomeAmt |
| CY Investment Income | $10,905 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $11,906,933 | PYTotalRevenueAmt |
| CY Total Revenue | $15,674,456 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,081,606 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,828,252 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $319,928 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,044,218 | PYOtherExpensesAmt |
| CY Other Expenses | $2,709,930 | CYOtherExpensesAmt |
| PY Total Expenses | $10,125,824 | PYTotalExpensesAmt |
| CY Total Expenses | $13,538,182 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,781,109 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,136,274 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $11,571,657 | TotalAssetsBOYAmt |
| Total Assets EOY | $12,489,293 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,428,551 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,209,913 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,143,106 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $11,279,380 | NetAssetsOrFundBalancesEOYAmt |
| Mission | REDUCE THE STIGMA AND PROMOTE AWARENESS SURROUNDING MENTAL HEALTH WITHIN THE COMMUNITIES WE SERVE, PROMOTE WELLNESS, AND PROVIDE INDIVIDUALIZED CARE WITH AN INTEGRATED APPROACH. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $10,651,010 | ExpenseAmt |
| Revenue | $13,427,801 | RevenueAmt |
| Desc | THE CENTER PROVIDES MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES TO ADULTS, FAMILIES, CHILDREN, AND YOUTH. IT SERVES THE CITIZENS OF SOUTHWEST MISSOURI AND COVERS A FULL RANGE OF SERVICES INCLUDING PSYCHIATRIC REHABILITATION, OUTPATIENT THERAPY, COMMUNITY EDUCATION, AND SUBSTANCE ABUSE TREATMENT. | Desc |
| Total Program Service Expenses | $10,651,010 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 10 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 166 | EmployeeCnt |
| Employment Tax Returns Filed | false | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHELIA LAYTON | PersonNm |
| Phone | 4174761035 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 100 | AddressLine1Txt |
| City | PIERCE CITY | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 65723 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Key EmployeeKeyEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| DR CHARLES GRAVES | ||||||||
| MEDICAL DIRE | 40.00 | Yes (X) | $326,800 | $0 | $26,830 | |||
| BRADLEY RIDENOUR | ||||||||
| CEO | 40.00 | $204,221 | $0 | $35,430 | Yes (X) | |||
| CHRISTY HENLEY | ||||||||
| CLINIC DIREC | 40.00 | Yes (X) | $159,080 | $0 | $15,819 | |||
| AMY HERBST | ||||||||
| DIRECTOR MED | 40.00 | $136,707 | $0 | $12,825 | Yes (X) | |||
| KIMBERLY BLACK | ||||||||
| PSYCHIATRIC | 40.00 | $126,527 | $0 | $21,474 | Yes (X) | |||
| WARREN WESTON | ||||||||
| PSYCHIATRIST | 40.00 | $137,861 | $0 | $8,244 | Yes (X) | |||
| JAMIE RANDALL | ||||||||
| PSYCHIATRIC | 40.00 | $125,435 | $0 | $19,447 | Yes (X) | |||
| AMANDA BARNES | ||||||||
| PSYCHIATRIC | 40.00 | $122,868 | $0 | $19,282 | Yes (X) | |||
| JEFF CARR | ||||||||
| PRESIDENT | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| AJ BAHL | ||||||||
| VICE PRESIDE | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| MARK NELSON | ||||||||
| TREASURER | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| LAURIE BOWLING | ||||||||
| SECRETARY | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| MARK BARTON | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| MIKE BROWNSBERGER | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| JIM INGLE RESIGNED 92021 | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,339,499 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $159,351 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $2,235,750 | GovernmentGrantsAmt |
| Total Contributions | $2,235,750 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PROGRAM REVENUES | Desc |
| Total Revenue Column | $13,427,801 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,427,801 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $13,427,801 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,905 | TotalRevenueColumnAmt |
| Exclusion | $10,905 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,674,456 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,427,801 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $10,905 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $817,343 | TotalAmt |
| Program Services | $760,665 | ProgramServicesAmt |
| Management And General | $51,280 | ManagementAndGeneralAmt |
| Fundraising | $5,398 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,401,504 | TotalAmt |
| Program Services | $5,725,840 | ProgramServicesAmt |
| Management And General | $1,480,623 | ManagementAndGeneralAmt |
| Fundraising | $195,041 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $756,855 | TotalAmt |
| Program Services | $576,663 | ProgramServicesAmt |
| Management And General | $149,984 | ManagementAndGeneralAmt |
| Fundraising | $30,208 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,236,801 | TotalAmt |
| Program Services | $925,952 | ProgramServicesAmt |
| Management And General | $260,250 | ManagementAndGeneralAmt |
| Fundraising | $50,599 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $615,749 | TotalAmt |
| Program Services | $485,410 | ProgramServicesAmt |
| Management And General | $114,002 | ManagementAndGeneralAmt |
| Fundraising | $16,337 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,450 | TotalAmt |
| Management And General | $44,450 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,830 | TotalAmt |
| Management And General | $37,830 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $234,488 | TotalAmt |
| Program Services | $104,793 | ProgramServicesAmt |
| Management And General | $129,392 | ManagementAndGeneralAmt |
| Fundraising | $303 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $299,559 | TotalAmt |
| Program Services | $231,865 | ProgramServicesAmt |
| Management And General | $65,677 | ManagementAndGeneralAmt |
| Fundraising | $2,017 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $515,994 | TotalAmt |
| Program Services | $459,235 | ProgramServicesAmt |
| Management And General | $43,343 | ManagementAndGeneralAmt |
| Fundraising | $13,416 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $340,076 | TotalAmt |
| Program Services | $302,513 | ProgramServicesAmt |
| Management And General | $36,816 | ManagementAndGeneralAmt |
| Fundraising | $747 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $515,484 | TotalAmt |
| Program Services | $501,544 | ProgramServicesAmt |
| Management And General | $10,735 | ManagementAndGeneralAmt |
| Fundraising | $3,205 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,552 | TotalAmt |
| Program Services | $85,705 | ProgramServicesAmt |
| Management And General | $3,208 | ManagementAndGeneralAmt |
| Fundraising | $639 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,125 | TotalAmt |
| Program Services | $78,413 | ProgramServicesAmt |
| Management And General | $8,712 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,572 | TotalAmt |
| Program Services | $54,101 | ProgramServicesAmt |
| Management And General | $10,290 | ManagementAndGeneralAmt |
| Fundraising | $1,181 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PHARMACY | $128,490 | $128,490 | ||
| CLIENT PROGRAM EXPENSES | $126,828 | $125,649 | $342 | $837 |
| DUES & SUBSCRIPTIONS | $112,416 | $13,216 | $99,200 | |
| PROGRAM SUPPLIES | $82,505 | $82,419 | $86 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,561 | TotalAmt |
| Program Services | $8,537 | ProgramServicesAmt |
| Management And General | $21,024 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,538,182 | TotalAmt |
| Program Services | $10,651,010 | ProgramServicesAmt |
| Management And General | $2,567,244 | ManagementAndGeneralAmt |
| Fundraising | $319,928 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,948,090 | BOYAmt |
| EOY | $6,380,889 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,803,976 | BOYAmt |
| EOY | $1,814,880 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $989,880 | BOYAmt |
| EOY | $1,366,272 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $480,235 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,397,550 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $950,533 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,829,260 | BOYAmt |
| EOY | $2,447,017 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $451 | BOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,571,657 | BOYAmt |
| EOY | $12,489,293 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $937,304 | BOYAmt |
| EOY | $1,209,913 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,491,247 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,428,551 | BOYAmt |
| EOY | $1,209,913 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,143,106 | BOYAmt |
| EOY | $11,279,380 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,143,106 | BOYAmt |
| EOY | $11,279,380 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,571,657 | BOYAmt |
| EOY | $12,489,293 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,136,274 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,123,523 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,311,066 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,992,672 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,891,130 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,235,750 | CurrentTaxYearAmt |
| Total | $40,554,141 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $799,663 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $917,355 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,384,581 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year | $13,427,801 | CurrentTaxYearAmt |
| Total | $16,529,400 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,923,186 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,228,421 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,377,253 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,891,130 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,663,551 | CurrentTaxYearAmt |
| Total | $57,083,541 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $57,083,541 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,145 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $25,632 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $26,041 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,803 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,905 | CurrentTaxYearAmt |
| Total | $90,526 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,145 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $25,632 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $26,041 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,803 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,905 | CurrentTaxYearAmt |
| Total | $90,526 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,935,331 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,254,053 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,403,294 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,906,933 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,674,456 | CurrentTaxYearAmt |
| Total | $57,174,067 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99840 | PublicSupportCY509Pct |
| Public Support PY509 | 0.91370 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $264,047 | OtherCostOrOtherBasisAmt |
| Book Value | $264,047 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,193,956 | OtherCostOrOtherBasisAmt |
| Depreciation | $521,033 | DepreciationAmt |
| Book Value | $1,672,923 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $939,547 | OtherCostOrOtherBasisAmt |
| Depreciation | $429,500 | DepreciationAmt |
| Book Value | $510,047 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,447,017 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $15,674,456 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $15,674,456 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $15,674,456 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $13,538,182 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $13,538,182 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $13,538,182 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | THE CENTER IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND CLASSIFIED BY THE INTERNAL REVENUE SERVICE AS OTHER THAN A PRIVATE FOUNDATION. THE CENTER HAS ANALYZED THE TAX POSITIONS TAKEN AND HAS CONCLUDED THAT AS JUNE 30, 2022 AND 2021, THERE ARE NO UNCERTAIN POSITIONS TAKEN, OR EXPECTED TO BE TAKEN, THAT WOULD REQUIRE RECOGNITION OF AN ASSET OR LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. A TAX ASSET OR LIABILITY WOULD BE RECOGNIZED IF THE CENTER HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES. THE CENTER IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PEIRODS IN PROGRESS. THE CENTER DOES NOT BELIEVE IT LIKELY THAT CHANGES WILL OCCUR WITHIN THE NEXT FISCAL YEAR THAT WILL HAVE A MATERIAL IMPACT ON THE FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|
| DR CHARLES GRAVES | |||||
| MEDICAL DIRECTOR | $317,628 | $9,172 | $10,060 | $16,770 | $353,630 |
| BRADLEY RIDENOUR | |||||
| CEO | $160,221 | $44,000 | $6,682 | $28,748 | $239,651 |
| CHRISTY HENLEY | |||||
| CLINIC DIRECTOR | $147,279 | $11,801 | $4,854 | $10,965 | $174,899 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | THE CFO IS RESPONSIBLE FOR THE DETAILED REVIEW OF FORM 990. ONCE THE REVIEW PROCESS IS COMPLETE, FORM 990 IS PROVIDED TO THE BOARD PRIOR TO BEING FILED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE ORGANIZATION'S CODE OF ETHICAL CONDUCT POLICY INCLUDES ITS CONFLICT OF INTEREST POLICY. THE POLICY APPLIES TO, BUT IS NOT LIMITED TO, BOARD MEMBERS, OFFICERS, EMPLOYED AND NON-EMPLOYED STAFF, VENDORS, VOLUNTEERS, CONSULTANTS, AND CONTRACTORS. REPORTS OF SUSPECTED COMPLIANCE ISSUES AND/OR PERCEIVED VIOLATIONS OF THE POLICIES CAN BE MADE TO AN INDIVIDUALS SUPERVISOR OR THE CORPORATE COMPLIANCE OFFICER. THE CEO IS RESPONSIBLE FOR ENSURING ALL INTERESTED PERSONS COMPLY WITH THE CONFLICT OF INTEREST POLICY. ANYONE WHO VIOLATES THE CODE OR RELATED POLICIES AND PROCEDURES WILL BE SUBJECT TO DISCIPLINARY ACTION. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE CEO'S COMPENSATION IS DETERMINED BY THE BOARD ON AN ANNUAL BASIS. THE PROCESS INCLUDES, BUT IS NOT LIMITED TO, REVIEW OF INDUSTRY COMPENSATION PACKAGES, APPROVAL BY THE BOARD OF DIRECTORS, AND DOCUMENTATION OF THE COMPENSATION ARRANGEMENT. |
| FORM 990, PAGE 6, PART VI, LINE 15B | OTHER OFFICERS AND KEY EMPLOYEES' COMPENSATION IS DETERMINED BY THE CEO ON AN ANNUAL BASIS. THE PROCESS INCLUDES, BUT IS NOT LIMITED TO, REVIEW OF INDUSTRY COMPENSATION PACKAGES, APPROVAL BY THE BOARD OF DIRECTORS, AND DOCUMENTATION OF THE COMPENSATION ARRANGEMENT. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABE TO THE PUBLIC UPON REQUEST. |
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